Functional and Aesthetic Crown Lengthening

Crown lengthening seeks to expose more tooth surface by repositioning the gums. There are two types of crown lengthening:

• Functional
• Aesthetic

Functional Crown Lengthening

Functional crown lengthening is used when the tooth is too short to retain a crown. In order to expose more tooth surface, the supporting bone around that tooth and adjacent teeth will need to be removed. In some instances, this may weaken the tooth and adjacent teeth or may pose esthetic challenges. If that’s the case, these risks will be discussed, and an alternate plan will be recommended.

How Functional Crown Lengthening Works

During the procedure, the periodontist gently repositions the gum tissue and may remove a small amount of supporting bone around the affected tooth and the neighboring teeth. This creates the necessary space for your dentist to place a stable, long-lasting crown.

Aesthetic Crown Lengthening

Esthetic crown lengthening is performed in cases of uneven gingival display or excessive gingival display (“gummy smile”). The exact amount of lengthening is determined in consultation with the orthodontist, general dentist, or both (if restorative or orthodontic treatment is needed), and is based on the patient’s esthetic desires.

How Aesthetic Crown Lengthening Enhances Your Smile

The procedure involves sculpting the gum tissue, and sometimes the underlying bone, to reveal more of the natural tooth structure. The exact amount of tissue adjustment is determined in collaboration with the general dentist, orthodontist, or restorative specialist, depending on your treatment goals.

What to Expect During Crown Lengthening

Crown lengthening is typically performed under local anesthesia to keep you comfortable. Whether your goal is functional or esthetic, the procedure follows a structured process that protects your periodontal health and supports proper healing. Your periodontist gently lifts the soft tissues to access the tooth structure, gum tissue, and underlying bone.

For functional crown lengthening, small amounts of supporting bone may be reshaped to expose more tooth structure, create the needed biologic width, and provide space for a stable dental restoration. For esthetic crown lengthening, excess gum tissue is sculpted to improve symmetry, correct a gummy smile, and enhance the appearance of the anterior teeth and overall smile line. After the gum tissue is repositioned, the area is sutured to support healing.

Is Crown Lengthening Right for You?

You may be a candidate for crown lengthening if you need more exposed tooth structure for a strong, long-lasting dental restoration, or if you are seeking aesthetic improvements to enhance the appearance of your smile. Patients often consider the crown lengthening process for:

• Functional issues, such as a tooth that is too short to support a crown
• Deep decay or a fractured tooth near the gum line
• Preparing for a comprehensive restorative plan involving multiple teeth
• Correcting excessive gingival display or excessive gum tissue
• Creating a more symmetrical smile in the esthetic zone
• Improving the appearance of anterior teeth
• Addressing concerns related to periodontal health

A dental professional will evaluate the teeth involved, the neighboring teeth, your gingival phenotype, bone levels, and your overall smile aesthetics to determine if the procedure is appropriate. If the risks of removing bone or altering gum tissue outweigh the benefits, an alternate treatment plan will be recommended.

Schedule a Consultation

If you’re considering functional and aesthetic crown lengthening, our team is here to guide you through the process with expertise, precision, and a commitment to patient satisfaction. Whether you need improved access for a restoration or want to refine your smile by reshaping the gums, performing crown lengthening procedures with a focus on comfort and long-term success is our priority. Schedule a consultation today to discuss your goals and create a personalized plan that achieves the best balance of function, aesthetics, and lasting results.